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00:05To all your friends, you're delirious, so consumed in all your doom, I'm trying hard to feel your emptiness, the
00:23breeze is gone.
00:26It's a mid morning.
00:27Bye.
00:28What about your meds?
00:29Got it love.
00:31You are beautiful no matter what it takes.
00:38Ooh.
00:42Ooh.
00:45Ooh.
00:47Ooh.
00:49Ooh.
00:50Ooh.
00:51Ooh.
00:51Ooh.
00:52Ooh.
00:52Ooh.
00:52Ooh.
00:57Ooh.
00:57Ooh.
00:58Ooh.
00:59Ooh.
01:00Ooh.
01:06Ooh.
01:08Ooh.
01:08Ooh.
01:09Mm-hmm.
01:12Yeah.
01:15Ooh.
01:18Ooh.
01:19Oh, my God.
01:48The
01:49house.
01:50Need you?
01:51I forget it.
01:53I'm going home.
01:54Have you been?
01:56You must be a doctor at everything.
01:57Two minutes.
01:59No, the purple thingy on the file means that whoever is one of yours,
02:03which means cancer, which means no way, it's two minutes.
02:06Fine, I'm lying. 30 minutes.
02:14Mystery of life.
02:16Benadryl might help.
02:17I already did a thousand milligrams.
02:20Steam room?
02:23Like Jimmy.
02:24We'll talk about this in the morning.
02:26I got a nine-year-old with cancer, ovular rhabdomyosarcoma.
02:29Terminal kid trumps your stuffy nose.
02:32Not yet.
02:33She's hallucinating.
02:36So the rhabdos in her brain make her comfortable.
02:39She's got about a week.
02:40Yeah, except there is no cancer in her brain.
02:43Pristine CT scan, blood tests, protein markers, all negative.
02:47The cancer is a remission.
02:50This means the hallucinations are unconnected.
02:53Fascinating, huh?
02:54And not that it matters, but if you fix whatever's going on in her head, you give her maybe another
02:59year.
03:00Long time for a nine-year-old.
03:03Oh.
03:05It'll just fly by.
03:08Five major surgeries, a bone marrow transplant, 14 rounds of chemo and blast radiation.
03:13If it was me, I'd just stay home and watch TV or something, not lie here under a microscope.
03:20Don't worry.
03:21Anything that happens to you, nobody's going to lift a finger.
03:26Differential diagnosis.
03:27All your marks.
03:29Get set.
03:29Hallucinations could be caused by...
03:31Whoa, whoa, whoa.
03:33Wait for it.
03:35Adgo.
03:38Latent neurotoxicity from the chemo treatments.
03:40No, patient's last round of chemo was two months ago.
03:42We would have seen it by now.
03:43Genetic component?
03:44Eh, nothing on mom.
03:46Dad split when she was pregnant.
03:47His medical history is also clean.
03:49What a guy.
03:51What about graft versus host disease from the bone marrow transplant?
03:55Infection travels to her brain.
03:56She has hallucinations.
03:57Blood work and LP were clean.
03:59But where there's infection, there's meningial swelling.
04:02That CT shows no meningial involvement.
04:05True.
04:06Get a tox-creed, an MRI.
04:07We can do that if you want to ignore what we just discussed.
04:10Sounds good.
04:11Toxic exposure doesn't make any chronological sense.
04:13Yes, there is a third option.
04:15She's making it all up because she doesn't want to get in trouble for breaking a mirror.
04:19Unfortunately, we can't test for that.
04:20So, tox-creed, MRI, and you stay away from the patient.
04:25What'd I do?
04:26Oh, well, you'll just get all warm and cuddly around the dying girl and insinuate yourself.
04:32You'll probably end up in a custody battle.
04:34Chase, you had a labob.
04:35I thought the hell or not that you'd just sit home and watch TV and die, but you've got
04:38to go through the motions and try to save your daughter's life.
04:41It's a doctorate thing.
04:44What the hell is this?
04:47Black walnut and ginger.
04:50It's nice.
04:52I'll just lay you down and I'll attach this thingamajiggy.
04:56Sat monitor.
04:57Oh, a pro.
04:58Don't have to explain anything.
05:00I like it.
05:07Central line for the chemo.
05:09Yeah.
05:09Doesn't hurt or anything, does it?
05:10No, it's awesome.
05:12Instead of an IV, it saves me a lot of time and a bunch of needle sticks.
05:16I don't think I've ever heard anyone say that like their central line before.
05:21Right, can I interest you in a walk in the park?
05:25No, thanks.
05:26Oh, okay.
05:29Don't want any butterflies either.
05:31Doesn't matter what the walls look like.
05:33You're still looking for cancer.
05:35Not today.
05:35We're looking for an infection.
05:37But I get your point.
05:39You comfortable?
05:39Yep.
05:40All right.
05:41Let's get this over with.
05:43You're proud.
05:44I like it.
05:48Whoa, look at the time.
05:50I should have been out of here 20 minutes ago.
05:52I've only been here 20 minutes.
05:54Can't slip anything by you, Kevin.
05:56It's patient and one.
05:58No, taking a sick day.
05:59Take some Claritin.
06:01Everyone's a doctor suddenly.
06:02Patient and one requested a male doctor.
06:05Balls are in your court, doctor.
06:06Union rules.
06:07I can't check out this guy's sepic gonorrhea this close to lunch.
06:11Exam room one.
06:13You know, it's sexist and a very dangerous precedent.
06:16People can choose the sex of their doctors.
06:18You gals will be out of business.
06:19Exam room one.
06:24Sore throat?
06:30What's that lupus?
06:32Well, not everyone can operate a zipper.
06:35You know, the up, the down.
06:36What comes next?
06:38My new girlfriend.
06:40Never been with a guy who wasn't circumcised.
06:44So she freaked and...
06:46Aha.
06:47And you wanted Riefka to feel all gemutlicht.
06:50I get it.
06:51It's a shot, da.
06:57Oh!
06:59I got some box cutters and, um...
07:02Just like Abraham did it.
07:03I sterilized them, which, uh, I was told you...
07:07Stop talking.
07:10I'm gonna get a plastic surgeon.
07:12Get the Twinkie back in the wrapper.
07:21House.
07:23Hey, House.
07:25Andy's MRI and tox cream were clean.
07:28No infection, no neurotoxins.
07:41Oxygen saturation is 94%.
07:43Check her heart.
07:44Her oxygen saturation is normal.
07:46It's off by one percentage point.
07:47It's within range.
07:48It's normal.
07:49If her DNA was off by one percentage point, she'd be a dolphin.
07:53We've got a patient who, for no obvious reason, is hallucinating.
07:56Since it's not obvious, I thought we'd go with subtle.
07:58It doesn't matter.
07:59If her sap percentage is off, that means her blood isn't getting enough oxygen.
08:02That's a problem with her lungs, not her heart.
08:04And a lung problem isn't causing hallucinations.
08:06If the lungs could lead us somewhere, that is.
08:08Welcome to the end of the thought process.
08:10Primary pulmonary hypertension?
08:12Maybe P or pulmonary fibrosis.
08:14Could be some bizarre case of kyphoscoliosis.
08:17I'm going home.
08:19While I'm resting, you guys get some material blood gases.
08:22Once you confirm she is hypoxic, I'm going to plot this mography, chest X-ray, CT, and BQ.
08:27But if all that comes back negative, then sneak a catheter into her lungs.
08:33Don't worry.
08:34I don't sleep in.
08:35I'll get beagles.
08:37You ever had this test before?
08:39What's it for?
08:42This goes all the way up the vein by your hip into your lung.
08:46If I find something up there blocking anything, I pull it out.
08:48Simple.
08:49It's going to be easy.
08:50The doctor at Sloan told me I had a great aorta.
08:53Oh, you have had this test before.
08:55Sorry.
08:56I just like hearing you talk.
09:04I never kissed a boy.
09:09There's time yet for that.
09:12There was a boy last summer.
09:15I was at one of those cancer camps.
09:18Mm-hmm.
09:18I just never had the guts to ask him.
09:23You know, there's a good chance I'm not going to walk out of this hospital.
09:28Even if I do, I'm nine.
09:30Not a lot of kissing going on in the third grade.
09:32You will walk out of here, all right?
09:35And you will kiss a boy.
09:39There you go.
09:41Smile.
09:44Will you kiss me?
09:50No.
09:51No one will ever know.
09:54I'm sorry.
09:57I can't.
09:58I won't tell anyone.
10:00Listen, you're nine years old.
10:02I'm 30.
10:04I just want to know what it feels like.
10:07Once.
10:09This isn't your last chance for that.
10:13What if it is?
10:18Please kiss me.
10:38Please kiss me.
10:52Begles.
10:53Didn't sleep in.
10:54Didn't sleep, didn't breathe.
10:57I'm dying.
10:58Pulmonary angiogram of Andy's lungs was clean.
11:01Arterial blood gases and CT scan were also normal.
11:04The heart and lungs are fine.
11:07Which gives us no explanation for the diminished SAT percentage.
11:10Yeah, oddly enough, sometimes normal is normal.
11:12Sometimes we can't see why normal isn't normal.
11:15Get our symptoms on the board.
11:17Oh, you're letting me touch the markers?
11:19It's written out of my best healthcare directive.
11:22Should I be incapacitated in any way, you run the board.
11:24Then form it.
11:26Chase, you're just not ready yet.
11:29What else?
11:29Guys, I know we sort of ruled out infection, but if we forget the labs for a minute.
11:34There is one infection we didn't test for because of her age.
11:38Neurosyphilis.
11:38There's no way.
11:39If the infection dipped into her cerebral cortex, all peripheral functions could be compromised.
11:43No, she hasn't had sex.
11:45She's nine.
11:45Maybe it wasn't her idea.
11:47I mean, she's been around a lot of adults.
11:50All the hospital visits, the counselors at the cancer camps.
11:53You think she's been molested?
11:54I think it pretty well if there's any of that going on.
11:56Yeah, all girls who've been molested want to talk about it.
11:59Break out the rape kit.
12:01She hasn't had sex.
12:03Why are you so sure?
12:03She told me she never kissed a boy.
12:06You read her diary, too?
12:09She asked me to kiss her.
12:12I arrest my case.
12:13A regular nine-year-old girl does not have sex on the brain, not when a doctor's threading a catheter
12:18through her vein.
12:19She's not a regular nine-year-old.
12:20She's got terminal cancer.
12:21Cancer doesn't make you special.
12:24Molestation, on the other hand.
12:25She wanted one kiss before she dies.
12:28If she's never kissed a boy, it's a fair bet she's never had sex.
12:32Tell that to all the hookers who won't kiss beyond the mouth.
12:35Hey, here's a theory.
12:37She has been molested, seeks refuge in romantic fantasies with older men with great hair, and I think you left
12:44out the punchline.
12:45Victims of molestation learn to work the angles, manipulate people.
12:52You did it, didn't you?
12:54You kissed her.
12:57It wasn't sick.
12:59It was one kiss for a dying girl.
13:02One small, one small kiss before she dies.
13:06This is exactly why you can't touch my markers.
13:10Go see if she's had sex.
13:11Okay.
13:15No one's ever touched me.
13:17You just need to be sure.
13:21I like your hair.
13:24I used to have really curly hair.
13:27Always when I had to be like yours is.
13:33All right.
13:35That's it.
13:36You're fine.
13:44All right.
13:51That's it.
13:52You're fine.
13:58You're fine.
14:11With a patient.
14:13Is she dying?
14:15No.
14:16Then she can wait.
14:19Will you excuse me just two minutes?
14:24If only she'd been molested.
14:27Then we'd have something to go on.
14:29No forced entry.
14:30One hallucination.
14:32Maybe it was just bad pork.
14:34Maybe there's nothing...
14:35She's not fine.
14:37Her sad percentage dropped another point.
14:40Which could suggest a tumor in her lung.
14:43Lug wouldn't explain the hallucination.
14:45CT scans showed both lungs were clean.
14:47Which means there's a tumor in her heart.
14:49Not a chance.
14:50Give me that.
14:53I loosened it.
14:54I opened it.
14:56We've got an MRI and an echo of her heart.
14:58There's nothing there.
14:59Give me one other explanation.
15:01For low oxygen saturation.
15:03I can't.
15:04There's only one condition that simultaneously affects the heart and the brain.
15:07Perfect.
15:08Let's go with that.
15:09Tuberous sclerosis in a kid that also has alveolar rhabdomyosarcoma.
15:13Two different unrelated cancers at the same time is a statistical no-no.
15:17What's the rate of cancer in the general population?
15:20One in 10,000?
15:21Don't.
15:22Don't start with the numbers.
15:23The way I figure it, one in 10,000 of them should have another cancer.
15:27Little girl won the lottery twice.
15:30It happens.
15:31So you're going to cut her open?
15:34Exploratory surgery.
15:35You've got to find this thing.
15:36You're just going to grope around inside an immunocompromised nine-year-old?
15:40She could die on the table.
15:41I know it's somewhere near the heart.
15:43House.
15:45You've got to do better than that.
16:04Why are we here?
16:10Better acoustics.
16:12Now listen to this.
16:19It's a module half valve.
16:20No.
16:21Get the wax out of your ears.
16:22This is the patient's aortic valve.
16:25I downloaded the audio of her echocardiogram.
16:27What are we trying to hear?
16:29Tumor.
16:30They tend to keep quiet on account of them not having any mouths.
16:33But we could hear an abnormality in the sound of the valve, which would indicate the presence of something.
16:38The tumor, for example.
16:40If we could tell the surgeon where to look, this is no longer an exploratory surgery.
16:45It's a precision strike.
16:46Her aortic valve sounds normal.
16:48Too bad.
16:49Now listen to the dulcet tones of Andy's tricuspid valve.
16:55Normal.
16:56And this is her mitral valve.
17:03I don't hear anything weird.
17:06You guys may be sad.
17:09Listen again.
17:10She's had one hallucination.
17:11Why are we operating on her?
17:13Why are we risking her life?
17:14Because Wilson thinks it would be nice to give the girl a year to say goodbye to her mommy.
17:19I guess maybe she stutters or something.
17:22Now shut up and listen.
17:24Tricuspid.
17:28Mitral.
17:32Again.
17:33Wait.
17:35There.
17:38There's an extra flap.
17:42I'm going to ask the surgeon to look at the mitral valve first.
17:45Jason, I want you there.
17:47I don't like reading surgeon's reports.
17:48They're boring.
17:49I'm not really sure I should be spending more time with you.
17:52You can't be conscious.
17:53You'll be safe.
18:06You'll be safe.
18:11I'll be there when you wake up.
18:13I'm going to be fine, Mom.
18:20Brave kid.
18:22She even gave her mom a pep talk.
18:24Sure.
18:25Brave.
18:26She's a wonder.
18:28What's your problem?
18:30These cancer kids.
18:31You can't put them all on a pedestal.
18:33It's basic statistics.
18:34Some of them have got to be whiny, little, fraidy cats.
18:37You're unbelievable.
18:38If there's not one yellow belly in the whole group, then being brave doesn't have any meaning.
18:43Andy handles an impossible situation with grace.
18:46That's not to be admired.
18:47You see grace because you want to see grace.
18:48You don't see grace because you won't go anywhere near her.
18:51Idolizing is pathological with you people.
18:53You see things to admire where there's nothing.
18:55Yeah, well, we're evil.
18:57You find things to admire where you shouldn't be sniffing at all, like Debbie in accounting.
19:02She's nice.
19:03You shouldn't know that.
19:04You're married.
19:04So, the little kid dying of cancer.
19:06I shouldn't like her?
19:07If you're dying, suddenly everybody loves you.
19:10You have a cane.
19:11Nobody even likes you.
19:12I'm not terminal.
19:13You're really pathetic.
19:14You wouldn't believe the crap people let me get away with.
19:23You're really fatty.
19:23I don't know.
19:23I don't know.
19:23I don't know.
19:24I don't know.
19:30I don't know.
19:43To be continued...
20:09They found a tumor.
20:11It's in her lung, extending into her heart.
20:14It wasn't visible on the MRI because it's growing along the heart wall.
20:18Now, because of the placement, the surgeon has to temporarily remove Andy's heart.
20:23It's called an explant.
20:25They cut out the tumor, replace any damaged heart muscle with bovine patches.
20:30That's a patch made from a cow's pericardium sac that encloses the heart.
20:36What are her chances?
20:38The problem is there might not be enough heart left once they remove all of the tumor.
20:45And if the tumor's metastasized, there's nothing we can do.
21:09Dr. Murphy?
21:11Just let me tie this off.
21:12Doctor.
21:13What?
21:14She's got a bleed in her eye.
21:19They got the tumor, repaired her heart, but she bled out of her eye.
21:24She didn't bleed out of her eye from a heart tumor.
21:26True.
21:26The cardiac tumor was benign.
21:28That's impossible.
21:29Statistically.
21:30Oh, shut up.
21:31If the tumor's benign, that means it didn't cause her hallucinations.
21:34That's why I'm mentioning it.
21:36So the tumor's a coincidence.
21:39This is bad.
21:40You're starting to state the obvious.
21:41No, you said it would be there, and it was there.
21:43It can't be a coincidence.
21:45A nine-year-old with terminal cancer gets an unrelated benign tumor growing in her heart.
21:50Why?
21:51It's benign?
21:52That's impossible.
21:53Dr. Wilson.
21:53And the retinal bleed, another coincidence?
21:55A clot could create pressure behind the eye, cause the bleeding.
21:57A clot could explain the eye, but doesn't explain the hallucinations.
22:00A clot could cause mini-seizure.
22:01Great.
22:02Another thing that's not causing the hallucinations.
22:03Post-seizure psychosis.
22:05The brain sort of corrects itself after the seizure by hallucinating.
22:08The clot could explain the eye and the hallucinations, but what about the tumor?
22:11Tumors the size of an octopus wrapped around a little girl's heart are not just a coincidence.
22:15She's not healthy.
22:16She's never been healthy.
22:17What's the theory here?
22:17This girl's body's a lemon?
22:19Faulty manufacturing?
22:20Everything's falling apart?
22:22The tumor is Afghanistan.
22:25The clot is buffalo.
22:29Does that need more explanation?
22:32Okay.
22:32The tumor is Al-Qaeda.
22:34The big bad guy.
22:35The brains.
22:36We went in, wiped it out, but it had already sent out a splinter cell.
22:39A small team of low-level terrorists quietly living in some suburb of Buffalo, waiting to kill us all.
22:44Whoa, whoa, whoa.
22:45Are you trying to say that the tumor threw a clot before we removed it?
22:48It was an excellent metaphor.
22:51Angio, her brain, before this clot straps on an explosive best.
23:16Angio was clean.
23:18There's no clot?
23:19There's a clot.
23:20You just can't find it.
23:21You can't do exploratory surgery on her brain.
23:25Are you sure you're not a neurologist?
23:30Okay.
23:33She's gonna die.
23:34Well, the clot's not gonna go away quietly.
23:37It could blow at any time.
23:40Are you gonna let them know?
23:43I guess so.
23:45Can I come with?
23:47To tell Andy she's gonna die?
23:49That's very un-you.
23:51She's such a brave girl.
23:53I want to see how brave she is when you tell her she's gonna die.
23:58Go to hell.
24:03Go to hell.
24:29What would you do if you were told you were gonna die?
24:33I don't know.
24:33I'd be devastated.
24:34You'd cry like a baby.
24:37Everybody would.
24:38She's not doing anything.
24:40She's a rock.
24:41She's brave.
24:43Yeah, yeah, yeah.
24:43Why?
24:44She's gone through more than most people do in a lifetime.
24:46So what?
24:47Does that mean she's ready to die?
24:49What if her bravery is a symptom?
24:52The clot is causing hallucinations and messing with her emotions.
24:56You think her bravery is chemically based?
24:58Tell us where to look for the clot.
25:00Where's the fear center?
25:01The amygdala, near the hippocampus.
25:03It's a big area and a busy one.
25:05You blindly cut in there, you'd kill her.
25:08The only time you're gonna see this clot is that autopsy.
25:15Then let's do that.
25:19Is it still illegal to perform an autopsy on a living person?
25:23Are you high?
25:24If it's Tuesday, I'm wasted.
25:26It's Wednesday.
25:28I want to induce hypothermic cardiac arrest.
25:31Once the patient's on bypass, we siphon off two liters of blood.
25:34Refuse the brain while she's in an MRI.
25:36You're actually talking about killing her.
25:37Just for a little while.
25:38I'll bring her right back.
25:39Oh.
25:40Well, in that case, go ahead.
25:41Why are we even talking?
25:42If we do nothing, she's dead in a day.
25:44Maybe a week.
25:45The kind that lasts.
25:50We need FDA approval for any surgical technique that's used for diagnostic purposes.
25:53Absolutely.
25:54If we were doing anything invasive.
25:56But there's nothing invasive.
26:00You know, I'm not cutting into her head.
26:02I'm just looking for a clot.
26:03Not invasive?
26:05You're killing her.
26:06Don't split hairs.
26:08If it works, she lives.
26:16Make sure the mom understands that this is a million-to-one shot.
26:22I'll see that Wilson passes that law.
26:25The plan is basically to reboot your daughter.
26:32Like a computer.
26:33We shut her down and restart her.
26:37How do you restart a nine-year-old girl?
26:39We cool her core body temperature to 21 degrees Celsius.
26:43Use blankets, ice.
26:45Sort of like hibernation?
26:47Not quite.
26:48In hibernation, a bear's heartbeat is just very slow.
26:51In cardiac arrest, there is no heartbeat.
26:54So she's dead?
26:56Temporarily, yes.
26:57By cooling her, we limit the risk of damage when we remove her blood.
27:02Not all of it.
27:04Two to three liters.
27:05Half her blood.
27:07And we put it back.
27:09It's called perfusing the circuit.
27:12In this case, her brain.
27:13And using an MRI, we'd have a very brief window to hopefully see the outline of the clot.
27:21If it's there and it's operable, we go get it.
27:27And Andy walks out of here.
27:43Signed consent forms.
27:46Great, thanks.
27:48You sound better.
27:50I stacked a combo of mentholatum, a few Vicodin, and something else, which I can't remember.
27:57Should be able to ride the high for a couple hours.
28:01What did Andy say?
28:04About what?
28:05About this.
28:07I didn't talk to her.
28:09She doesn't need to know the specifics of this procedure.
28:13What if you're right about her?
28:17What if she just is that brave?
28:20That doesn't mean she's mature enough to handle this kind of decision.
28:23Either she understands or she's not brave.
28:26You can't have it both ways.
28:28If she does understand, then she deserves to know what's going on.
29:03I'm Dr. House.
29:04I'm Dr. House.
29:05I've seen her around.
29:07Did your mom tell you what you're going to try?
29:10Sure.
29:17Tomorrow's test could take ten hours.
29:21In your present condition, you might not even make it through.
29:27My mom's done a lot of research.
29:29How do you feel about it?
29:32If you figured maturity came from how much time you've got left instead of how long you've been here, this
29:37would be your call.
29:39I don't have a choice, right?
29:43I could give you one.
29:48I want to get better.
29:51You've got cancer.
29:53And if I fix this...
29:55I have a year.
29:57A year of this.
30:00A lot of people wouldn't want that.
30:04A lot of people would just want it to be over.
30:10Are you asking if I want to die?
30:13Nobody wants to die.
30:17But you're going to.
30:21The only question is how.
30:23How much you're going to suffer and...
30:26How long.
30:29I'm asking if you want this to be over.
30:39What would you tell my mom?
30:43I would give her ten excellent medical reasons why we can't do this procedure.
30:49I can't just leave her because I'm tired.
30:56But you can't stay for her either.
31:00She needs me here.
31:05This is your life.
31:07You can't do this just for her.
31:13You can't do this.
31:19You can't do it.
31:23You can't do it.
31:24Thank you for joining me for tonight's dress rehearsal.
31:26Playing the part of Andy is Morty Randolph.
31:29For his donation to science, we give her thanks.
31:32Once Andy is cool and goes off bypass,
31:35we have 60 seconds to get two liters of blood out of her body,
31:38back into her for pictures to find the clot in her head.
31:41If our star is bumped tomorrow while my MRI is on,
31:47these red lights will go off,
31:50which will mean we have no usable test results.
31:52No test results.
31:53It's goodbye Broadway.
31:54You guys will be wearing bad catsuits in Des Moines.
31:57Now neurosurgeons here with a view of the monitors.
31:59Cardiac surgeon there in case we need to open her up.
32:02Anesthesiologists won by the cardiac bypass machine,
32:05won by the cooling apparatus.
32:07Earl's in the course.
32:08If you're over 5'10", stick with me.
32:09Okay, give me 60 seconds on the clock.
32:13Showtime.
32:14A five, six, seven, eight.
32:17Siphon off the blood through the arterial line.
32:20Whoosh.
32:21Sound of blood draining.
32:23More whoosh.
32:27And we kill her.
32:30Again.
32:34Sorry, my hands left.
32:35How hard can this be?
32:36It's a little busy down here.
32:38Again.
32:40If we didn't have to lavage your gastro-
32:42Again.
32:45Again.
32:48We could bolt it to the table.
32:51Gruesome and low tech.
32:53Kiss me, I love it.
32:56A five, six, seven, eight.
33:00Here you go, doctor.
33:04This will make you sleep.
33:08A lot of people.
33:10Big musical number, kiddo.
33:13A lot of people here to make you look good.
33:16A lot of people here to make you look good.
33:16A lot of people here to make you look good.
33:16Kind of freaking me out.
33:17He gets that sometimes.
33:21Deep breath, honey.
33:22A lot more people.
33:29OK, girl.
33:31Two little women.
33:34I've got one up here.
34:04Body temperature 37 degrees Celsius.
34:08Start the cooling.
34:13You, go.
34:20She's shivering. 200 milligrams of vicaronium.
34:2724 degrees Celsius.
34:37We have AFib.
34:43What?
34:44She's dead.
34:45That's the whole idea.
34:46Go.
34:51One liter out.
34:59Two liters.
35:01Okay, put the blood back in.
35:02We perfuse the circuit.
35:07Anything, people.
35:07Anything at all.
35:09Internal carotid artery and cavernous sinus is fine.
35:12Is the debula cochlear nerve intact?
35:13Middle meningeal artery clear?
35:15Five seconds.
35:16Nothing.
35:21We're over the limit.
35:22We've got to start re-warming her or there'll be permanent damage.
35:24Keep looking.
35:27There.
35:29I didn't see anything.
35:30It was there.
35:32You sure?
35:33Four millimeters laterals on the hippocampus.
35:34I saw it.
35:35Oh, she's out of time.
35:37She's going to be a vegetable.
35:38I saw it.
35:41It's good enough for me.
35:56They were able to restart her heart.
35:58She's doing as well as can be hoped.
36:00So they found the clot?
36:02We think so.
36:04The neurosurgeons are attempting to remove it right now.
36:07And when will we know if there was any damage?
36:09A few hours.
36:10A few hours.
36:12Chooarty.
36:18Thought you had all the answers to rest your heart upon.
36:31But something happens.
36:35Don't see it coming now.
36:48Four millimeters laterals of the hippocampus.
36:51That's where I am.
36:53There's nothing there.
36:55You're not there yet.
36:57Keep going.
36:59I'm there.
37:01Are you sure you saw...
37:04There it is.
37:05I think you can get it.
37:09You're stumbling, your heart in circles, till you let it go, till you shed your pride and you climb to
37:26heaven.
37:29I need to know yourself.
37:32I hate you.
37:51You're treating your stuffy nose with cocaine.
37:59Diphonhydramine.
38:00Antihistamine.
38:03New delivery system.
38:04It's a blood-brain barrier thing.
38:06It's all about speed, isn't it?
38:09One thing to another, never standing still.
38:14You're pretty good at that.
38:16I know my way around a razor blade.
38:20It's time.
38:22Just a couple more rocks.
38:25Andy's going home.
38:27Right.
38:29The parade of the small, bald circus freaks.
38:33Sorry, I got a thing.
38:36I read a surgeon's report.
38:38Oh?
38:39Clot was nowhere near her amygdala.
38:41It means her fear emotions were working perfectly.
38:46Yeah.
38:48Yeah.
38:51So her bravery was not a symptom.
38:56Yeah.
38:58I was wrong.
39:01She genuinely is a self-sacrificing saint
39:04whose life will bring her nothing but pain,
39:07which she will stoically withstand.
39:10Just so that her mom doesn't have to cry quite so soon,
39:13I am beside myself with joy.
39:19Whoa!
39:20She enjoys life more than you do.
39:23Right.
39:24She stole that kiss from Chase.
39:26What have you done lately?
39:27I'm pacing myself.
39:28Unlike her, I ate the luxury of time.
39:33She could outlive you.
39:36She could outlive you.
39:50In the silence
39:54All your secrets
40:02In case you want to see real butterflies.
40:05I'll bring myself
40:06But together
40:09who you choose
40:18Now you're up there
40:34I'm not gonna kiss you, no matter what you say.
41:00It's on the outside.
41:01Just go for a walk.
41:06Not much for the long walks in the park.
41:09You're a kid.
41:27Every day is so wonderful.
41:31And suddenly it's hard to breathe.
41:39Now and then I get insecure from all the pain.
41:46I'm so ashamed.
41:51I am beautiful, no matter what they say.
41:56Words can't bring me down.
42:02I am beautiful in every single way.
42:08Your right leg, you still ride.
42:14You got excellent financing right now.
42:16List for 10-8.
42:17I'll let you steal it out the door for 10-3.
42:20No, thanks.
42:27Could I test drive one of these things?
42:31No matter what you do, no matter what you say.
42:36With a song inside the tune.
42:39Full of beautiful the stairs.
42:43And everywhere we go, the sun will always shine.
42:49Tomorrow we might wake up on the other side, all the other times.
42:54We are beautiful in every single way.
42:58bright end
42:58No.
42:58You
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